Individual
NANCY CENTLIVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
402 WEST 1ST ST, ADRIAN, MO 64720-9277
(816) 297-2107
Mailing address
11900 MEADOW LN, LEAWOOD, KS 66209-1155
(913) 724-3485
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1400823
KS
Other
Enumeration date
06/08/2007
Last updated
12/12/2007
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